A CASE OF HYDROPHOBIA. 113 
and loudly ordered him not to do so. At this time there was 
some intolerance of light. 
The excretion of mucus continued to increase, and the spasms 
recurring at intervals of from one to two minutes. They were 
always attended with a violent retching effort. He evinced ex- 
treme sensibility to draughts of air, and requested those who 
spoke to him not to blow upon him. 
An enema of beef-tea containing ten minims of prussic acid 
was administered. He did not resist the introduction of the 
pipe, and retained the enema. The attempt to take a little wine 
occasioned him great spasm. Quarter to 3, p.m., he lay down 
for the first time. At a quarter to 4, five minims of hydrocyanic 
acid (Ph. L.) were administered by a camel’s-hair pencil, moist- 
ened in the acid and applied to the tongue. 
Quarter-past 4. — Ten minims of acid were given in the same 
way. Almost immediately after this dose he seemed more 
quiet, and lay down in bed. 
Half-past 4. — Ten minims more acid given. This time he 
applied the brush himself ; he seemed to be sensible that he 
derived some benefit from the medicine. He became more quiet, 
and the retchings seemed less frequent. The hydrocyanic was 
increased in quantity, and at half-past 5 consisted of twenty 
minims. No desired effect had been produced, but the retch- 
ing and spasms had acquired excessive violence, and there was 
some tendency to delirium. 
At 6, a frigorific mixture of ice and salt, inclosed in ox-gullets, 
was applied along the spine and round the throat. 
Quarter-past 6. — Has been more quiet since the application 
of the ice ; does not foam so much at the mouth ; retching less 
frequent; pulse 100. 
Half-past 6. — Muscles of the larynx and pharynx almost free 
from spasm ; his feet are getting cold, and pulse falling— 90 ; the 
ice-bags were removed, and hot bottles applied to his feet and 
legs. He complained of thirst; some rough ice was offered him ; 
lie snapped at it, and devoured it greedily with astonishing ra- 
pidity, swallowing it with ease. 
7 p.m. — The ice-bags have now been off half an hour; he is 
becoming excited again ; pulse 132 ; but the frothing at the 
mouth and rattle in the chest have entirely gone since the appli- 
cation of the ice. In the last three-quarters of an hour he has 
eaten a pound and a half of rough .ice, which he prefers to ice- 
creams, which were procured for him. His swallowing had so 
much improved, that he was able to take some wine. On the 
application of the ice-bags, the heart’s action became greatly 
depressed ; breathing quite natural, and free from rale. 
8 p.m. — Ice-bags removed; pulse 9G ; feet and hands cold; 
